Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANISHA RENEE WILSON, LMHC
Active Sole ProprietorTANISHA RENEE WILSON, LMHC is a Mental Health Counselor healthcare provider located in MEDFORD, Massachusetts. NPI 1497050272 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MEDFORD, MA
Registration Details
- NPI Number
- 1497050272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2011 (15.569346950303 yrs)
- Last Updated
- Jun 17, 2021
- License
-
12401-MH-CC (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 HIGH ST STE 101MEDFORD, MA, 021553800Browse MA providers · Browse ZIP 02155
- Phone
- 7813382640
- Fax
- 7813382217
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in MEDFORD, MA
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN JOSEPH DONAHUE | LMHC | 1033190160 |
| CHARLES G. HOAR | LMHC | 1821043738 |
| MS. KRYSTYNA KSIAZEK | L.M.H.C | 1659487155 |
| MICHELLE ANNETTE MURRAY | L.M.H.C | 1417063967 |
| MR. HOWARD WARREN SHERMAN | L.M.H.C | 1134234628 |
| ANNETTE S MALLEN | LCSW | 1407947989 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.